This document covers all sorts of indication regarding physician signature in the medical record. I believe that if the surgeon is BILLING for the surgery as primary surgeon, it is required that they at least SIGN the operative report. If they have someone else dictate it, they must at least attest that the information in the report is accurate. Many hospitals have a requirement that the primary surgeon dictates and signs their own operative reports, so check with the hospital contracting department. The other entity that would be involved is the physician's malpractice insurance company. They often times have guidance for providers on these issues. If the surgeon does not sign their operative report they are opening up themselves to potential malpractice if something goes wrong!
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